| NPI | 1588037774 |
|---|---|
| Former Name | KYRA M LOGSDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0105944) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2025-04-11 |